Authorization Coordinator
Location: Newton
Posted on: April 17, 2024
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Job Description:
Authorization Coordinator
Summary
The Authorization Coordinator is responsible for the daily function
and maintenance of the OTA¿s speech, physical and occupational
therapy client authorizations including CTP¿s, private pay and
insurance reimbursed contracts and agreements. This position also
provides back up administrative support to the front desk
receptionists and to the directors and therapists in the discharge
of their duties by performing clerical tasks and providing office
coverage answering phones, taking and distributing messages, and
greeting clients. Occasionally, this position will have to assist
in the operation of group therapy or training events.
Responsibilities:
Authorizations - CTP¿s, Private Contracts, Insurance Clients
1)Maintains up to date database of OTA¿s CTP, private pay and
insurance contracts, agreements and clients.
2)Updates Caretracker database as needed.
3)Charges and invoices CTP clients at appropriate monthly billing
dates.
4)Meets with new CTP clients to review the terms and conditions /
policies of their CTP agreement.
5)Sends out renewal / extension CTP contracts to clients.
6)Maintains tracking system for past due CTP clients and contacts
clients to make payments when check is overdue or automatic charge
does not go through. Reports status of past due accounts to
Administrative Director.
7)Submits monthly reports to Administrative Director on status of
past due accounts and past due CTP paperwork.
8)Collects past due CTP paperwork from clients.
9)Ensures all insurance authorizations are current by running the
authorization report with insurance carriers so that OTA billing
for services is not rejected.
10)
11)Invoices all client evaluations working with Client
Coordinator.
Front Desk Back-up Coverage
1)Coverage of front desk at various times to cover during absences
and other gaps in receptionist coverage like during mail
pick-up/delivery. Back-up throughout the day when many demands
occurring.
2)Second backup to phone lines when front desk receptionist and
front desk assistant not available.
3)Organizing substitution coverage and cancellation notifications
for therapists who call in sick.
4)Assist with scheduling make-ups; in particular for vacations or
other block make-up scheduling.
5)Availability to cover the front desk on up to one Saturday per
month.
6)Calls on inclement weather to staff, therapists and clients.
Billing Back-up Coverage
1)Complete Back-up throughout the day when many demands
occurring.
2)Second backup to phone lines when front desk receptionist and
front desk assistant not available.
Other Responsibilities
1)Review therapists¿ daily schedule for sign-out and billing.
Review therapists¿ email notices for special circumstances on their
schedule and timesheet.
2)Maintain the discharge log to ensure that the discharge process
is ongoing and current.
3)Complete account reconciliation when a CTP client discharges.
4)Answer client questions regarding our policies before signing
them and throughout the time they are receiving services.
5)Collection of client documentation as necessary.
6)Refer problems and trends to the Clinical Director for further
attention.
Therapeutic Groups
1)Handle all intakes for all groups in conjunction with Clinical
Director.
2)Coordinate on group times, staffing, openings, etc. with group
leaders.
3)Coordinate on changes in groups, enrollment numbers, and staff
schedules with Client Coordinator and Clinical Director to assure
that all staff production requirements are met.
4)Daily/weekly updates prior to summer and fall scheduling to all
involved in groups on status of group membership
Requirements
* Excellent organizational and communication skills
* Proactive approach to problem solving
* Detailed oriented with strong computer skills
* Punctual and committed approach to work
* Excellent people skills
* Ability to multi task in a fast paced environment
* Strong sense of the vision and mission of the clinic and the
ability to communicate this to all
* Bachelors Degree or in lieu of degree experience commensurate
with the job description
Keywords: , Waltham , Authorization Coordinator, Administration, Clerical , Newton, Massachusetts
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